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* 1. Name of Owner

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* 2. Address

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* 3. Telephone Number

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* 4. Name of Cow

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* 5. Ear Tag Number 

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* 6. Bred by

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* 7. Fat (kgs)

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* 8. Milk (kgs)

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* 9. Protein %

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* 10. Protein (kgs)

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* 11. Exhibitor Bred

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* 12. Sire

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* 13. Dam

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* 14. EBI (Include photocopy of certificate)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 15. Signature of Owner/Agent

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* 16. Date

Date

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* 17. What actions have you taken to enhance the environmental and economic sustainability of your farm

Payment Options 

Bank transfer:
Bank Account Name: Virginia Show
IBAN: IE92AIBK93253121658044
BIC: AIBKIE2D

Cheques / Postal orders should be posted to Virginia Show, Showgrounds, Virginia Co.Cavan

 
GDPR CONSENT FORM

In line with GDPR, we require your consent to publish your personal data (name, address, company, herd name, role) and photographs for the purpose of promoting the campaign

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* 18. Name

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* 19. Signature

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* 20. Please tick box

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